Individual provider Active NPI

Kymberly Hensley Tuckfield, MSP

  • Speech-Language Pathologist
  • Spartanburg, SC
National Provider Identifier
1255638987
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5249 Issued in SC
Practice address
355 Cedar Springs Rd
Spartanburg, SC 29302-4628
Phone
(971) 678-9822
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12973 OR
Speech-Language Pathologist 235Z00000X 5249 SC Primary

Addresses

Primary practice location

355 Cedar Springs Rd
Spartanburg, SC 29302-4628

Mailing address

355 Cedar Springs Rd
Spartanburg, SC 29302-4628
Phone (971) 678-9822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12973ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Know Better DO Better Collective Speech-Language Pathologist Current Accepting new patients
Beyond the Clinic PC Speech-Language Pathologist PastSince Jan 14, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1255638987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024628",
            "telephone_number": "971-678-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024628",
            "telephone_number": "971-678-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKFIELD",
        "first_name": "KYMBERLY",
        "middle_name": "HENSLEY",
        "name_prefix": "Mrs.",
        "credential": "MSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12973",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.